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eHealth and Hypertensive Disorders of Pregnancy: Systematic Review.
Hillary Hu1,2,3, Nargis Noori3, Vincent Lee2,4
1Faculty of Medicine, The University of Sydney, Sydney, Australia.
Journal of Medical Internet Research
|September 10, 2025
Summary
eHealth interventions for hypertensive disorders of pregnancy (HDP) show promise in improving blood pressure monitoring and patient satisfaction. However, current evidence quality is low, limiting recommendations for routine clinical use.
Area of Science:
- Obstetrics and Gynecology
- Digital Health
- Cardiovascular Health
Background:
- Hypertensive disorders of pregnancy (HDP) affect up to 10% of pregnancies, posing risks to mothers and infants.
- eHealth interventions, utilizing internet-based technologies, are increasingly adopted in healthcare for improved outcomes.
Purpose of the Study:
- To systematically review eHealth interventions for patients with or at risk of HDP.
- To assess the feasibility, acceptability, and clinical outcomes of these digital health strategies.
Main Methods:
- A systematic review of publications on eHealth interventions and HDP was conducted.
- Searches included terms like "telehealth," "ehealth," "digital health," "preeclampsia," and "gestational hypertension."
- Meta-analyses of randomized controlled trials were performed where possible.
Main Results:
- 100 publications with 61,539 participants were analyzed.
- Interventions focused on self-monitoring blood pressure, data transmission, and patient-provider communication.
- eHealth interventions reduced readmission rates and improved blood pressure ascertainment and clinic attendance.
Conclusions:
- Current evidence on eHealth interventions for HDP is of low quality and insufficient for routine clinical recommendations.
- These interventions appear feasible, safe, and acceptable to patients, with potential for reduced healthcare utilization and improved follow-up.
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